Cross Body vs Sleeper Stretch on Pain, Range of Motion and Functional Performance in Cricket Bowlers.

Pain Clinical Trial

Official title:

Comparison of Cross Body and Sleeper Stretch on Pain, Range of Motion and Functional Performance in Cricket Bowlers With Glenohumeral Internal Rotation Deficiency(GIRD).

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06240819
• Other study ID #: REC/RCR&AHS/23/0447
• Status: Recruiting
• Phase: N/A
• Start date: October 20, 2023
• Est. completion date: February 20, 2024

Study information

• Verified date: January 2024
• Source: Riphah International University
• Contact: Sana Batool, MS DPT
• Phone: 0336-2504318
• Email: sana.fizza[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position

Description:

The objective of the study is to determine the comparison of sleeper stretch and cross body stretch on pain, range of motion and functional performance in cricket bowlers with GIRD. The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position. A universal goniometer, Upper limb functional index (UEFI) scale and Numeric pain rating scale (NPRS) will be used at the baseline and after the completion of treatment at 6 weeks.

The data will be analyzed by SPSS, version 25. Statistical significance is P=0.05.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 22
• Est. completion date: February 20, 2024
• Est. primary completion date: February 20, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 30 Years

Eligibility

Inclusion Criteria:

• Age 20 to 30years,

• Both male and female,

• >10% IR deficit,

• >25% IR deficit related to contralateral limb,

• Athletes one year of regular practice,

• Lift off test for shoulder internal rotation positive.

Exclusion Criteria:

• Non players,

• Any nerve lesions of upper limb,

• Players with history of shoulder pain or fracture or dislocation in less than twelve months

Related Conditions & MeSH terms

• Pain
• Physical Functional Performance
• Range of Motion

Intervention

Other:
• Sleeper Stretch
They will receive three sessions a week for four weeks. In a session three sets with three repetitions of sleeper stretch in a side lying position
• Cross Body Stretch
They will receive three sessions a week for four weeks. In a session, three sets with three repetitions of cross-body stretch will be done in sitting position.

Locations

Country	Name	City	State
Pakistan	Pakistan sports board	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (8)

Aldridge R, Stephen Guffey J, Whitehead MT, Head P. The effects of a daily stretching protocol on passive glenohumeral internal rotation in overhead throwing collegiate athletes. Int J Sports Phys Ther. 2012 Aug;7(4):365-71. — View Citation

Dutton M, Tam N, Divekar N, Prins D, Gray J. The association between gird and overhead throwing biomechanics in cricket. J Biomech. 2021 Sep 20;126:110658. doi: 10.1016/j.jbiomech.2021.110658. Epub 2021 Jul 29. — View Citation

Giles K, Musa I. A survey of glenohumeral joint rotational range and non-specific shoulder pain in elite cricketers. Phys Ther Sport. 2008 Aug;9(3):109-16. doi: 10.1016/j.ptsp.2008.03.002. Epub 2008 May 9. — View Citation

Johnson JE, Fullmer JA, Nielsen CM, Johnson JK, Moorman CT 3rd. Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2018 May 22;6(5):2325967118773322. doi: 10.1177/2325967118773322. eCollection 2018 May. — View Citation

Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of Stretching on Posterior Shoulder Tightness and Glenohumeral Internal-Rotation Deficit: A Systematic Review of Randomized Controlled Trials. J Sport Rehabil. 2017 Jul;26(4):294-305. doi: 10.1123/jsr.2015-0172. Epub 2016 Aug 24. — View Citation

Moradi M, Hadadnezhad M, Letafatkar A, Khosrokiani Z, Baker JS. Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial. BMC Musculoskelet Disord. 2020 Jun 13;21(1):376. doi: 10.1186/s12891-020-03414-y. — View Citation

Rose MB, Noonan T. Glenohumeral internal rotation deficit in throwing athletes: current perspectives. Open Access J Sports Med. 2018 Mar 19;9:69-78. doi: 10.2147/OAJSM.S138975. eCollection 2018. — View Citation

Wilk KE, Hooks TR, Macrina LC. The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J Orthop Sports Phys Ther. 2013 Dec;43(12):891-4. doi: 10.2519/jospt.2013.4990. Epub 2013 Oct 30. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Shoulder Pain	Numeric pain rating scale (NPRS) will be used to assess pain.	pre and 6 weeks post interventional
Primary	Range of motion	A universal goniometer will be used to measure ROM	pre and 6 weeks post interventional
Primary	Functional Performance	upper extremity functional index (UEFI) scale to assess functional performance	pre and 6 weeks post interventional